Ohio State University Physicians

Financial Planning and Analysis

• Contacts patients or their designees to collect accurate coverage information.
• Uses integrated health information systems and telephone technology with customer service skills to facilitate customer interactions such that the customer experiences the Medical Center and its entities as an accessible, coordinated, and seamless entity.
• Performs an accurate search for patient in EPIC data base, thus, reducing the number of duplicate patient records.
• Assesses the patient’s financial ability to pay for services, referring patients to financial counseling staff when appropriate.
• Sends eligibility requests to all payors to verify accurate and current coverage.
• Interacts and maintains excellent working relationships with medical staff, referring physicians, and their designees.
• Displays the highest level of customer service, attentiveness, and consideration possible in all cases, keeping within the standard set by the Office of Compliance and HIPAA in reference to confidentiality.
• Alerts management of problems with systems and workflow.
• Creates estimates, provides patients with financial liability education, and collects copayments and deposits as necessary.
• Other duties as assigned.

Financial Clearance Representative, L1 - PreReg

Medical Billing and Coding

• Determines accurate CPT, HCPCS procedure and professional supply codes and ICD-10-CM diagnosis codes used for billing services provided by physicians and licensed non-physician providers
• Performs activities related to physician practice management and coding to maintain compliance with payer reimbursement policies and Federal health care program requirements
• Provides training and education on coding and compliance issues to physicians, non-physician providers and staff on an ongoing basis
• Interacts with patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation as well as communication on coding and compliance issues
• Performs audits and analyses of payer denials; provides information on compliance issues arising from audits and formulates recommendations to providers regarding improved documentation practices to avoid future claims denials
• Researches inquiries from providers and patients about fees, reimbursements, and denials
• Monitors data sources to ensure receipt and analysis of all charges
• Updates encounter forms/super bills on an annual basis with respect to diagnostic, procedural and supply code changes
• Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients
• Other duties or special projects as assigned.

Certified Coder

Medical Director

• Reporting to the Department Administrator, assists with the global administration of the outpatient clinics through the management, coordination, and/or assessment of integrated clinic operations.
• Assesses and supports clinical efficiencies and enhancements, operational systems, contingency staffing, staff training, strategic operational performance, and patient experience.
• Participates in strategic and operational decision making as a member of the management team.
• Performs assessments of outpatient clinical operations and makes recommendations for operational enhancements and clinical efficiencies.
• Manages assigned clinical management and their teams; oversees the onboarding process for new managers in ambulatory clinics.
• Provides day to day operational management support in a clinic in the absence of a manager.
• Represents the LLC at various policy-making and/or operating committees.
• Assists in and provides input for determining strategic objectives, program and project development related to the outpatient clinics.
• Works in collaboration with Administrator and clinic management to develop, communicate and administer written policies, procedures, and protocols.

Director of Clinical Operations – Eye Physicians

Manager

• As a Senior Clinic Manager at OSU Physicians, you will have an opportunity to lead operations, positively impact patient care and build your clinical team with the support of senior leaders.
• Independently provides overall administrative direction and coordination of clinic(s) while serving as liaison with all levels of administration, physicians, patients and outside organizations to coordinate clinic business, accomplish directives and to facilitate resolution of problems.
• Develops, recommends, implements and maintains an overall organizational structure, systems, and staffing plan to effectively accomplish the goals and objectives of the clinic(s); ensuring timely and resource-efficient responses to clinic needs.
• Manages all aspects of clinic operations while controlling labor costs and clinic expenses.
• Maintains functional knowledge of staff responsibilities.
• Manages assigned staff including but not limited to hiring, training, supervising, employee engagement, performance management, and setting expectations, scheduling, and approving payroll.
• Initiates coaching, disciplinary action, and performance improvement planning utilizing direct and open communication, in order to address violations of policy and/or poor behavior or performance.
• Ensures new and existing staff attend and successfully pass Ambulatory Skills Orientation in accordance with established expectations.
• Analyzes reports, prepares summary and develops plans for improvement of financial results, clinic productivity and operational benchmarks, executing change as appropriate.
• Oversees all registration, scheduling and building/managing provider template functions to maximize clinic outcomes in collaboration/coordination with the Corporate Central Access team.

Senior Clinic Manager – General Internal Medicine

• Lead operations and positively impact patient care.
• Independently provide overall administrative direction and coordination of clinic(s).
• Develop, recommend, implement and maintain organizational structure, systems, and staffing plan.
• Manage all aspects of clinic operations while controlling labor costs and clinic expenses.
• Oversee staff management including hiring, training, supervising, and performance management.
• Ensure staff attend Ambulatory Skills Orientation successfully.
• Analyze reports and develop plans for improvement of financial results, clinic productivity and operational benchmarks.
• Oversee registration and scheduling functions to maximize clinic outcomes.

Senior Clinic Manager – Dermatology

Auditor

• Conducts regular audits of clinical documentation and coding to identify areas for improvement and ensure compliance with federal, state, and payer regulations
• Makes recommendations based on interpretations of identified coding patterns
• Implements compliant and accurate coding solutions
• Identifies patterns of incorrect coding
• Identifies training needs and develops educational materials
• Partners with providers to analyze and resolve complex coding inquiries
• Helps Coders stay informed on changes in coding regulations
• Works independently to assess coding accuracy

Coding Auditor

Therapist

• Lead and provide patient care and supportive services within an interdisciplinary treatment team
• Provides clinical work with patients with mental health diagnoses including individual, group, and couple/family therapy
• Document treatment and complete utilization reviews
• Advocate for patients within the local community and maintain positive contacts with referral sources

Medical Social Worker – Psychotherapist

Accounting Manager

• Support management of the accounting team, fostering collaboration, accountability, and professional growth
• Oversee and review monthly, quarterly, and year-end financial close processes
• Ensure accurate recording of financial transactions in accordance with GAAP standards
• Analyze financial statements and identify trends, variances, and opportunities
• Lead account reconciliations for balance sheet and financial reporting
• Identify and implement process improvement initiatives to enhance efficiency and quality
• Develop and monitor key performance and quality metrics
• Partner with internal stakeholders and analytics teams to optimize reporting and processes
• Contribute to team development through coaching, training, and engagement initiatives

Pharmacist

• Provide medication management for patients within the General Internal Medicine Clinics
• Collaborate with physicians, nurse practitioners, and other providers
• Provide patient care through team-based visits and individual patient visits
• Identify and resolve medication-related problems
• Supervise pharmacy students and residents as needed

Clinical Pharmacist

Events

• Coordinate and provide patient support services such as answering phones, directing calls, greeting patients/visitors
• Maintain patient medical records via EMR or paper charts
• Assist with patient scheduling and performing office functions
• Handle patient payments as applicable
• Greets patients and visitors, registers and check-in patients
• Answers patient calls, takes, and relays messages or scripted care directions
• Performs check-out processes inclusive but limited to co-pay collections, scheduling return visits
• Ensures that follow-up tests have been ordered or scheduled
• Monitors length of patient’s wait and notifies the appropriate party of excessive wait times
• Opens and routes incoming mail; distributes correspondence, reports and office supplies
• Tracks and records patient information or program data
• Requests and handles referrals and medical records from referring offices
• Schedules appointments when directed
• Maintains the cash drawer, reconciles daily cash, and prepares bank deposits
• Contacts insurance companies and obtains registration or procedural pre-certifications

Patient Services Associate

Administrative Assistant

• Provide essential support to the leadership team
• Manage calendars for assigned executives and/or senior leaders
• Coordinate meetings including preparation materials and logistics
• Support leadership through special projects or tasks
• Arrange travel and travel reimbursement for assigned individuals
• Prepare communications, reports, and distribution lists
• Plan corporate events and manage fundraisers
• Order and distribute supplies as needed
• Schedule service and/or maintenance requests for equipment

Administrative Assistant II – Corporate

• Responsible for patient screening, evaluating, establishing and carrying out plans of care specific to sub-function clinical disciplines.
• Responsible for primary and secondary preventative or interventional methods for sustained health and quality of life.
• May have various job responsibilities including clinical, academic, research and community-based roles.
• Responsible for providing professional massage and bodywork services to promote healing and a sense of wellbeing.
• Integrates systematic manipulation of, or pressure on, soft tissue of the human body for therapeutic purposes.

Massage Therapist

• Provide direct outpatient nursing care under provider direction
• Room patients, take vitals, administer medications
• Assist with procedures, coordinate labs, maintain supplies/equipment
• Document in the EMR
• Ensure safe, compassionate, and efficient clinic operations (LPN)
• Support daily clinical operations, lead and mentor LPN staff (Lead LPN)
• Patient assessment and triage, medication administration, care coordination (RN)
• Lead and mentor nursing staff, assist with workflow and scheduling (Lead RN)

RN, LPN

Executive Assistant

• Answers incoming calls and relays messages
• Schedules clinical appointments
• Provides general administrative support
• Communicates information to patients
• Coordinates with other departments
• Sets up meetings as instructed
• Prepares paperwork for patients
• Builds and maintains patient charts
• Monitors and orders office supplies

Medical Secretary – Eye Physicians

• Assist with direct patient care and specialized medical procedures
• Assist medical and/or nursing staff in the examination and treatment of patients
• Room patients, measure and record vital signs
• Complete patient interview and history
• Prepare patients for examinations, tests, and treatments
• Assist with procedures as ordered by the physician
• Collect samples and perform routine laboratory tests